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We identified prevalence and correlates of neck injection among people who inject drugs (<jats:styled-content style=\"fixed-case\">PWID<\/jats:styled-content>) in <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>ijuana, <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>exico.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and Methods<\/jats:title><jats:p>Beginning in 2011, <jats:styled-content style=\"fixed-case\">PWID<\/jats:styled-content> aged \u226518 years who injected drugs within the last month were recruited into a prospective cohort. At baseline and semi\u2010annually, <jats:styled-content style=\"fixed-case\">PWID<\/jats:styled-content> completed interviewer\u2010administered surveys soliciting data on drug\u2010injecting practices. Logistic regression was used to identify predictors of injecting in the neck as the most frequent injection site at a single visit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 380 <jats:styled-content style=\"fixed-case\">PWID<\/jats:styled-content>, 35.3% injected in the neck at least once in the past 6 months, among whom 71.6% reported it as their most common injection site, the most common injecting site after the arms (47%). Controlling for age, years injecting and injecting frequency, injecting heroin and methamphetamine two or more times per day and having sought injection assistance were associated with injecting in the neck [adjusted odds ratios (<jats:styled-content style=\"fixed-case\">AOR<\/jats:styled-content>): 2.12; 95% confidence intervals (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>): 1.27\u20133.53 and <jats:styled-content style=\"fixed-case\">AOR<\/jats:styled-content>: 2.65; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.52\u20134.53 respectively].<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>Injecting in the neck was very common among <jats:styled-content style=\"fixed-case\">PWID<\/jats:styled-content> in <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>ijuana and was associated with polydrug use and seeking injection assistance. Tailoring harm reduction education interventions for individuals who provide injection assistance (\u2018hit doctors\u2019) may allow for the dissemination of safe injecting knowledge to reduce injection\u2010related morbidity and mortality. <jats:italic>[Rafful C, Wagner KD, Werb D, Gonz\u00e1lez\u2010Z\u00fa\u00f1iga PE, Verdugo S, Rangel G, Strathdee SA. Prevalence and correlates of neck injection among people who inject drugs in Tijuana, Mexico.<\/jats:italic> Drug Alcohol Rev<jats:italic> 2015;34:630\u20136]<\/jats:italic><\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.12264","type":"journal-article","created":{"date-parts":[[2015,4,13]],"date-time":"2015-04-13T11:32:49Z","timestamp":1428924769000},"page":"630-636","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Prevalence and correlates of neck injection among people who inject drugs in <scp>T<\/scp>ijuana, <scp>M<\/scp>exico"],"prefix":"10.1111","volume":"34","author":[{"given":"Claudia","family":"Rafful","sequence":"first","affiliation":[{"name":"Division of Global Public Health University of California  La Jolla USA"},{"name":"Graduate School of Public Health San Diego State University  San Diego USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karla D.","family":"Wagner","sequence":"additional","affiliation":[{"name":"School of Community Health Sciences University of Nevada  Reno USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan","family":"Werb","sequence":"additional","affiliation":[{"name":"Division of Global Public Health University of California  La Jolla USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia E.","family":"Gonz\u00e1lez\u2010Z\u00fa\u00f1iga","sequence":"additional","affiliation":[{"name":"Division of Global Public Health University of California  La Jolla USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Verdugo","sequence":"additional","affiliation":[{"name":"Division of Global Public Health University of California  La Jolla USA"},{"name":"Instituto de Servicios de Salud P\u00fablica de Baja California  Tijuana Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gudelia","family":"Rangel","sequence":"additional","affiliation":[{"name":"Secretariat of Health  Mexico"},{"name":"Mexico\u2010United States Border Health Commission  Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steffanie A.","family":"Strathdee","sequence":"additional","affiliation":[{"name":"Division of Global Public Health University of California  La Jolla USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,4,13]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e318050d260"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-200204120-00021"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2006.11.019"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/000331979504601112"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200401000-00009"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2880120214"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0733-8627(03)00068-3"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2004.05607.x"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/09595230802089701"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198802000-00019"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198512000-00008"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198808000-00017"},{"key":"e_1_2_8_14_1","first-page":"309","article-title":"Hemopneumothorax in an intravenous drug abuser","volume":"87","author":"Jackson AL","year":"1995","journal-title":"J Natl Med Assoc"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.78.4.613"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198402000-00009"},{"key":"e_1_2_8_17_1","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1288\/00005537-199005000-00012","article-title":"Vocal cord paralysis resulting from neck injections in the intravenous drug use population","volume":"100","author":"Hillstrom RP","year":"1990","journal-title":"Laryngoscope"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23334"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1191\/1358863x02vm440oa"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0376-8716(00)00161-7"},{"key":"e_1_2_8_21_1","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1007\/BF03403560","article-title":"Requiring help injecting as a risk factor for HIV infection in the Vancouver epidemic","author":"Wood E","year":"2003","journal-title":"Can J Public Health"},{"key":"e_1_2_8_22_1","unstructured":"Instituto Nacional de Estad\u00edstica y Geograf\u00eda.Censo de poblaci\u00f3n y vivienda 2010. 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